Steffens J A, Ting O, Schmidt S, Albers P
Zertifiziertes Prostatakarzinomzentrum, Klinik für Urologie und Kinderurologie, St. Antonius-Hospital, Dechant-Deckers-Strasse 8, 52249, Eschweiler, Deutschland.
Urologe A. 2010 Aug;49(8):910-5. doi: 10.1007/s00120-010-2301-0.
The 12-month data for 21 of the 44 certified centers were analyzed 2 years after certification of the first prostate cancer centers of the German Cancer Society. Currently about 25% of patients with prostate cancer are being treated in the centers certified by the German Cancer Society. On the one hand, a positive development toward interdisciplinary management can be observed with verifiably good surgical quality in most of the centers and good outpatient care provided by social services, and in some instances psycho-oncological support. On the other hand, there are substantial problems with data documentation. The quality of documentation declines considerably when the patient leaves the hospital. Concerted efforts must be made to improve documentation of patient data and transfer of aftercare information. The association with hospital cancer registries must be enhanced. The quality of both inpatient care and intersectoral care can only be improved on a long-term basis when the insurance providers support this development. Only when there is evidence for improved treatment quality can the long-term development of centers be justified, but until this is corroborated the establishment of centers cannot remain without financing.
德国癌症协会首批前列腺癌中心认证两年后，对44个认证中心中21个中心的12个月数据进行了分析。目前，约25%的前列腺癌患者在德国癌症协会认证的中心接受治疗。一方面，可以观察到朝着多学科管理的积极发展态势，大多数中心的手术质量可证实良好，社会服务提供了良好的门诊护理，在某些情况下还提供了心理肿瘤学支持。另一方面，数据记录存在重大问题。当患者出院后，记录质量大幅下降。必须共同努力改善患者数据记录和后续护理信息的传递。与医院癌症登记处的关联必须加强。只有当保险机构支持这一发展时，住院护理和跨部门护理的质量才能长期得到改善。只有当有证据表明治疗质量得到提高时，中心的长期发展才合理，但在这一点得到证实之前，中心的设立不能没有资金支持。
